首页|舍曲林联合脑电生物反馈对老年抑郁症合并失眠患者负性情绪、单胺神经递质水平及睡眠质量的影响

舍曲林联合脑电生物反馈对老年抑郁症合并失眠患者负性情绪、单胺神经递质水平及睡眠质量的影响

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目的 分析老年抑郁症合并失眠患者应用舍曲林联合脑电生物反馈对负性情绪、单胺神经递质水平及睡眠质量的影响。方法 选择本院2021年5月~2023年2月的84例老年抑郁症合并失眠患者为研究对象,采用随机数表方法进行分组。对照组42例给予舍曲林治疗,研究组42例增加脑电生物反馈治疗。3个月后,对比两组患者负性情绪、单胺神经递质水平及睡眠质量。结果 研究组焦虑自评量表评分、抑郁自评量表评分均低于对照组(P<0。05);研究组5-羟色胺、去甲肾上腺素、多巴胺水平均高于对照组(P<0。05);研究组失眠严重程度指数量表评分、匹兹堡睡眠质量指数量表评分分值均低于对照组(P<0。05);两组不良反应发生率比较(P>0。05)。结论 舍曲林联合脑电生物反馈能够有效减轻老年抑郁症合并失眠患者负性情绪,提高睡眠质量,改善单胺神经递质水平,且安全性高。
Effects of sertraline combined with EEG biofeedback on negative emotions,monoamine neurotransmit-ter levels and sleep quality in elderly patients with depression and insomnia
Objective To analyze the effects of sertraline combined with EEG biofeedback on negative emo-tion,monoamine neurotransmitter level and sleep quality in elderly patients with depression and insomnia.Methods Eighty-four elderly patients with depression combined with insomnia from May 2021 to February 2023 in our hospital were selected as the study objects,and grouped by random number table method.Sertraline was given to 42 patients in the control group,and EEG biofeedback was added to 42 patients in the experimental group.After 3 months,negative emotions,monoamine neurotransmitter levels and sleep quality were compared between the two groups.Results The scores of self-rating anxiety scale and self-rating depression scale in experimental group were lower than those in con-trol group(P<0.05).The levels of 5-hydroxytryptamine,norepinephrine and dopamine in experimental group were higher than those in control group(P<0.05).The scores of insomnia severity index and Pittsburgh Sleep Quality Index in the experimental group were lower than those in the control group(P<0.05).The incidence of adverse reactions was compared between the two groups(P>0.05).Conclusion Sertraline combined with EEG biofeedback can effectively reduce negative emotions,improve sleep quality,and improve the level of monoamine neurotransmitter in elderly pa-tients with depression and insomnia,with high safety.

SertralineEeg biofeedbackSenile depressionInsomniaMonoamine neurotransmitter levelsSleep quality

余璐、陈长浩、张栋、刘康、朱筱华、胡皖灵

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宿州市第二人民医院精神科(宿州,234000)

舍曲林 脑电生物反馈 老年抑郁症 失眠 单胺神经递质水平 睡眠质量

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(6)